Information Collection

LA REACh MDI Revitalization

IC 259897 under ICR 202304-1557-003 · OMB 1557-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1557-0248 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LA REACh MDI Revitalization	Form
LA REACh MDI Revitalization	Form
LA REACh MDI Revitalization 2022_March_CHXQ6B_2499417.docx	Form
LA REACh MDI Revitalization 2022_March_CHXQ6B_2499417.docx	Form
OMB Justification Form LA REACh 3.29.22.docx OMB Justification	IC Document
OMB Justification Form LA REACh 3.29.22.docx OMB Justification	IC Document

IC Title:

LA REACh MDI Revitalization

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	LA REACh MDI Revitalization	2022_March_CHXQ6B_2499417.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification	OMB Justification Form LA REACh 3.29.22.docx	04/26/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.